Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE WARD (MANAGER, PHARMACY ADMIN/AR)
(704) 844-6524
Entity
Organization
Contact information
Practice address
2476 NIMMO PARKWAY, VIRGINIA BEACH, VA 23456
(757) 563-9414
(704) 844-6556
Mailing address
701 CRESTDALE RD., MATTHEWS, NC 28105
(704) 844-3100
(704) 844-6556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004046
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010217113
—
VA
01
—
4838910
NCBP
—
Enumeration date
10/04/2006
Last updated
03/07/2023
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